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Sökning: L773:1387 2877 OR L773:1875 8908 > Does Treating Vascu...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004089naa a2200541 4500
001oai:DiVA.org:uu-397251
003SwePub
008191119s2018 | |||||||||||000 ||eng|
009oai:openarchive.ki.se:10616/46419
009oai:prod.swepub.kib.ki.se:138564944
022 a 1387-2877
024a 10616/464192 hdl
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3972512 URI
024a https://doi.org/10.3233/JAD-1802882 DOI
024a http://hdl.handle.net/10616/464192 URI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1385649442 URI
040 a (SwePub)uud (SwePub)kid (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Larsson, Susanna C.u Karolinska Institutet,Uppsala universitet,Ortopedi4 aut0 (Swepub:uu)susla720
2451 0a Does Treating Vascular Risk Factors Prevent Dementia and Alzheimer's Disease? A Systematic Review and Meta-Analysis.
264 1a Stockholm :b Karolinska Institutet, Institute of Environmental Medicine,c 2018
338 a print2 rdacarrier
520 a BACKGROUND: Epidemiological evidence has associated Alzheimer's disease (AD) with vascular risk factors (VRFs), but whether treatment of VRFs reduces the incidence of dementia and AD is uncertain.OBJECTIVE: To conduct a systematic review and meta-analysis to summarize available data on the impact of treatment of VRFs on dementia and AD incidence.METHODS: Pertinent studies published until 1 January 2018 were identified from PubMed. Both randomized controlled trials (RCT) and prospective studies that investigated the impact of treatment of VRFs on dementia or AD incidence were included.RESULTS: Eight RCTs and 52 prospective studies were identified. Antihypertensive treatment was associated with a non-significant reduced risk of dementia in RCTs (n = 5; relative risk [RR], 0.84; 95% confidence interval [CI], 0.69-1.02) and prospective studies (n = 3; RR, 0.77; 95% CI, 0.58-1.01) and with reduced AD risk in prospective studies (n = 5; RR = 0.78; 95% CI, 0.66-0.91). In prospective studies, treatment of hyperlipidemia with statins, but not nonstatin lipid-lowering agents, was associated with reduced risk of dementia (n = 17; RR, 0.77; 95% CI, 0.63-0.95) and AD (n = 13; RR, 0.86; 95% CI, 0.80-0.92). The single RCT on statins and dementia incidence showed no association. Data from one RCT and six prospective studies did not support a beneficial impact of antidiabetic drugs or insulin therapy on dementia risk.CONCLUSION: Current evidence indicates that antihypertensives and statins might reduce the incidence of dementia and AD. Further trials to determine the effect of VRF on AD are needed.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Neurologi0 (SwePub)302072 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Neurology0 (SwePub)302072 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Geriatrik0 (SwePub)302222 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Geriatrics0 (SwePub)302222 hsv//eng
653 a Alzheimer’s disease
653 a dementia
653 a meta-analysis
653 a prevention
653 a prospective studies
653 a randomized controlled trials
653 a risk factors
653 a systematic review
700a Markus, Hugh S4 aut
710a Uppsala universitetb Ortopedi4 org
710a Karolinska Institutet
710a Karolinska Institutet
773t Journal of Alzheimer's Diseased Stockholm : Karolinska Institutet, Institute of Environmental Medicineg 64:2, s. 657-668q 64:2<657-668x 1387-2877x 1875-8908
856u http://hdl.handle.net/10616/46419x primaryx Object in contextx freey FULLTEXT
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-397251
8564 8u https://doi.org/10.3233/JAD-180288
8564 8u http://hdl.handle.net/10616/46419
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:138564944

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MEDICIN OCH HÄLSOVETENSKAP
MEDICIN OCH HÄLS ...
och Klinisk medicin
och Neurologi
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och Klinisk medicin
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